Julie Smith Mabry, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903667 Issued in MS

Practice address

1997 Medical Park Dr
Greenville, MS 38703-7268

Phone

(662) 335-4105

Fax

(662) 378-2879

NPI assigned

Aug 21, 2020

Last updated

Jun 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Treatment Centers of America PLLCGroup PAC ID 2769608819, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Delta Health System - the Medical Center Hospital, Greenville, MS, CCN 250082

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95

Improvement activities

40

Cost

80.22

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julie.mabry@3912.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pain Treatment Centers of America, PLLC

  • Multi-Specialty Clinic/Center
  • Little Rock, AR
  • NPI 1841619731

  MS

  Medicare reassignment Care Compare group NPD
• Delta Kidney Alliance LLC

  • Nephrology Physician
  • Greenville, MS
  • NPI 1992276851
  NPD
• Pain Treatment Centers of America PLLC

  • Durable Medical Equipment & Medical Supplies
  • Harrison, AR
  • NPI 1821972225
  NPD
• Northern Mississippi Vascular Access Center

  • Vascular & Interventional Radiology Physician
  • Greenville, MS
  • NPI 1821861378
  NPD (past)
• Pain Treatment Centers of America, PLLC

  dba Family Care Centers of America

  • Family Medicine Physician
  • Rolling Fork, MS
  • NPI 1740946573
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Delta Health System

  dba Delta Health Cancer Center

  • Oncology Clinic/Center
  • Greenville, MS
  • NPI 1184232498

  Hospital

  Care Compare affiliation
• Delta Health System

  dba Delta Health-The Medical Center

  • Rural Acute Care Hospital
  • Greenville, MS
  • NPI 1306921887
  Care Compare affiliation
• Delta Health System

  dba Delta Health Cancer Center

  • Oncology Clinic/Center
  • Clarksdale, MS
  • NPI 1578171872

  Hospital

  Care Compare affiliation
• Delta Health System

  dba Delta Health Cancer Center

  • Oncology Clinic/Center
  • Cleveland, MS
  • NPI 1972112183

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1326650110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 MEDICAL PARK DR",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037268",
            "telephone_number": "662-335-4105",
            "fax_number": "662-378-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 MEDICAL PARK DR",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037268",
            "telephone_number": "662-335-4105",
            "fax_number": "662-378-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "JULIE",
        "middle_name": "SMITH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilburn Lord Jr., O.D.
• Loving Hand Respite Care
• Loving Hands Homemaker
• Michelle Lowery, CRNA
• Lum's Optical Inc
• Bill Franklin Maddox Jr., D.O.
• Magnolia Family Medical Clinic
• Magnolia Healthcare, Inc. (Autumn Leaves Nursing Home)
• Magnolia Healthcare, Inc.
• Magnolia Therapy LLC

• Family Nurse Practitioner in Greenville, MS
• Providers in Greenville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.